Individual
JAMES KIMO JANDOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OMT, LMT, STMS
Contact information
Practice address
1610 GROVER ST STE C3, LYNDEN, WA 98264
(360) 510-4630
(360) 935-9731
Mailing address
1610 GROVER ST STE C3, LYNDEN, WA 98264-1539
(360) 510-4630
(360) 935-9731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA00015681
WA
225700000X
Massage Therapist
MA00015681
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152465
WASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRY
WA
Enumeration date
09/16/2010
Last updated
05/09/2025
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